Non-malignant respiratory diseases
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Hospitalized adult patients with non-malignant respiratory diseases 2. Patients who will receive regular opioids (morphine, codeine, oxycodone, hydromorphone, fentanyl) for dyspnea (IPOS > 1 in the past day)
Exclusion criteria
Exclusion criteria: 1. Patients who are scheduled to undergo an intervention (e.g., chest drainage of pneumothorax or pleural effusion, introduction or withdrawal of noninvasive respiratory management techniques such as NPPV or HFNC) that could cause a change in dyspnea intensity within 2 days of enrollment 2. Patients on invasive ventilation 3. Patients with malignant tumors in the thoracic cavity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of patients with at least 1 decrease in dyspnea NRS 24 hours after initiation of regular opioid therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of patients with dyspnea IPOS of 1 or less 24 hours after starting regular opioid therapy for dyspnea Change in dyspnea NRS (now) 24 hours after starting regular opioids for dyspnea Change in dyspnea NRS (worst value in previous 24 hours) in 24 hours after starting regular opioids for dyspnea Percentage of improvement in dyspnea by patient subjective measures 24 hours after starting regular opioids for dyspnea Opioid-related adverse events in the first 24 hours after starting regular opioids for dyspnea | — |
Countries
Japan
Contacts
National Hospital Organization Kinki-Chuso Chest Medical Center Department of Psychosomatic Internal Medicine